If you are a member but have not used this online service before please register, returning users please login.

Personal Details

Mem #

Joined

Username

Date of Birth

Forename

Surname

Telephone

Mobile

Email

Address

Postcode

Ethnicity

If other ethnicity

Religion

If other religion

Disability Information

The Disability Discrimination Act 1995 defines a disabled person as anyone with, 'a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities'.

If you consider yourself to have a disability, please describe the nature of your disability

Medical Information

Please detail below any important medical information that our coaches/club should be aware of (e.g. epilepsy, asthma, diabetes, a recent injury, etc). Medical condition(s) and recommended treatment/actions to be taken if symptoms appear. If you have any concerns about your child participating in any form of physical activity then please consult your GP before giving permission for your child to take part in cycling activity sessions.

Parental Consent

For participants aged under 16 it is necessary for the club to obtain parental consent before any activities can be undertaken with the club.Please complete our Parental Consent Forms and bring the signed copy with you to your first activity.

I give consent for photographs/video footage of me to be taken and used by the club for promotional purposes.

Emergency Contact Details

Name

Relationship

Telephone

Mobile

Email

Address

Postcode

Notes

Membership

PNECC membership runs from 1st January to 31st December, for new members a pro-rata fee is charged in the first year.There are four classifications of membership: Full (full adult member); Associate (2nd claim/1st claim of another club); Junior (U18); and Youth (U16).

Club clothing can be ordered online through this website, in person, or by email to clubkit@pnecc.co.uk

Please select the membership you require, the fee shown is the fee you will be charged.

Please note there is no facility to take payment online, your membership will be confirmed once payment is made by cash, cheque or bank transfer to the Membership SecretaryAll cheques should be payable to 'Portsmouth North End Cycling Club'. Please contact membership@pnecc.co.uk if you require details for bank transfer or have any other questions.